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Drug interactions

Deflazacort + Fosinopril-hydrochlorothiazide

Severity: Moderate

Deflazacort and Fosinopril-hydrochlorothiazide: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Deflazacort is a corticosteroid with some mineralocorticoid activity and, like hydrochlorothiazide, can promote potassium loss. Together they raise the risk of hypokalemia, and corticosteroids may also reduce the antihypertensive effect through fluid retention.

What this interaction means in plain words

Deflazacort and Fosinopril-hydrochlorothiazide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Deflazacort belongs to Miscellaneous; Fosinopril-hydrochlorothiazide belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive renal potassium wasting, with corticosteroid-related sodium and fluid retention opposing antihypertensive effect.

What to do

Monitor serum potassium and blood pressure regularly and replace potassium as needed. Reassess antihypertensive dosing if blood pressure rises.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Deflazacort with Fosinopril-hydrochlorothiazide?

MediHelp rates the interaction as moderate. Deflazacort and Fosinopril-hydrochlorothiazide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Deflazacort is a corticosteroid with some mineralocorticoid activity and, like hydrochlorothiazide, can promote potassium loss. Together they raise the risk of hypokalemia, and corticosteroids may also reduce the antihypertensive effect through fluid retention.

How serious is the interaction between Deflazacort and Fosinopril-hydrochlorothiazide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum potassium and blood pressure regularly and replace potassium as needed. Reassess antihypertensive dosing if blood pressure rises.

What other medicines interact with Fosinopril-hydrochlorothiazide?

MediHelp also lists interactions of Fosinopril-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Protein a column. The full list is on the Fosinopril-hydrochlorothiazide page.

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